Organization Active NPI

Ferry Apothecary LLC

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1700531902
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FERRY APOTHECARY LLC
Doing business as
VIDA PHARMACY
Practice address
203 Ferry St
Newark, NJ 07105-2766
Phone
(973) 589-3936
Fax
(973) 200-8572
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah B. Fozi
Title
Managing Member
Phone
(973) 589-3936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

203 Ferry St
Newark, NJ 07105-2766

Mailing address

203 Ferry St
Newark, NJ 07105-2766
Phone (973) 589-3936

Other names 1

  • VIDA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231023000221 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 1052708401 Practice locations: Newark, NJ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1700531902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052766",
            "telephone_number": "973-589-3936",
            "fax_number": "973-200-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052766",
            "telephone_number": "973-589-3936",
            "fax_number": "973-200-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERRY APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "FOZI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "973-589-3936"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIDA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIDA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.